Neil.RobinsonWhiteRavenAssociates.com

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Digital Pen and PaperandCommunity Assessment
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Agenda

• Multi-Agency Working
• The Single Assessment Process
• Making SAP work
• Digital Pen and Paper (DPP) basics
• How do we work together
• A Babel Fish for databases
• Deployment architecture
• Benefits realisation

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The requirement for Multi-Agency operation

• 2005 Supporting People with Long Term Conditions
• An NHS and Social Care Model to support local
  innovation and integration
• The Model will help ensure effective joint
  working between all those involved in delivering
  care including secondary care, ambulance
  trusts, social care and voluntary and community
  organisations so patients experience a seamless
  journey through the health and social care
  systems.

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The requirement for Multi-Agency operation

• 2006 update LTC Self Care
• 2006 Supporting people with long term conditions
  to...Self Care
• Integrating care and support across sectors
• We must work together across care services to
  deliver high-quality, modern health and social
  care. Quite often, people have a range of health
  and social needs.

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2006 White Paper Objectives

• Integration in Health and Social Care
• Our health, our care, our say
• a new direction for community services
• People have told us that they would like greater
  integration between different services. ... We
  have already developed a Single Assessment
  Process for older peoples services. Work is
  underway to build on this to develop a Common
  Assessment Framework to ensure less duplication
  across different agencies

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The Single Assessment Process

• Individuals are placed at the heart of
  assessment and care planning, and these processes
  are timely and in proportion to individuals'
  needs.

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Making SAP/CAF work

• The SAP goal
• Information is collected, stored and shared as
  effectively as possible and subject to consent.
• How does this translate in the real world
• Local organisations have mature business
  processes.
• If its not broken dont fix it
• The process MUST support the professional and
  their organisation

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Making SAP/CAF work

• The challenges
• Place the service user at the centre of their
  Care needs and delivery.
• Use professional time in professional delivery
• They are not data entry clerks
• Share the wealth.
• With proper consent make the data work

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Making SAP/CAF work

• Place the service user at the centre of their
  Care needs and delivery.
• Assessment should be an interactive event
  recording the service users views and providing
  them with a record to keep and share with their
  family/carer.

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Making SAP/CAF work

• Use professional time in professional delivery
• Provide tools and systems that avoid double entry
  but maximise the availability of information.

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Making SAP/CAF work

• Share the wealth.
• We can only share information and use it properly
  if we have this at the heart of out IMT strategy.

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Can we deliver them all?

• Currently we have tested
• Basic Paper
• Actually the most expensive in time
• Most difficult to effectively recall and share
  information

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Can we deliver them all?

• Currently we have tested
• Laptop or Tablet PC
• Potentially a high set up cost
• Easy to recall and share information
• Alienates the service user and breaks the link to
  the professional

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Can we deliver them all?

• Currently we have tested
• Digital Pen and Paper
• The least expensive in time
• Provides data to many systems if required
• Creates the service user record as the assessment
  occurs
• Doesnt interfere with the professional client
  interaction

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Suitability of the Approach
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Digital Pen and Paper

• What is it.
• How does it work
• What do we need to do to get using it

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What is a Digital Pen?

• First and foremost, Its a pen!
• And yes, it uses real ink!
• When you write on digitally enabled paper, it
  records your hand writing in its memory
• Stores up to 40 pages of A4 text (depending on
  model)
• Its battery powered and lasts up to 2hrs writing
  time
• Thats continuous writing, not 2hrs total
• Can transmit the data back to a PC via USB or
  Bluetooth
• eg. A remote user could use their mobile phone to
  sendin a report

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What is Digital Paper?

• Its normal paper printed with a near-invisible
  dot pattern

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So How Does it Work?

• The Pen sees the dot pattern and works out where
  it is on the page (x, y co-ordinates).
• On a multi-page form, the pattern determines what
  page the pen is writing on.
• The pattern also tells us which form is being
  filled out.
• As you write, the pen records your handwriting
  strokes as a sequence of data and stores them.

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So How Does it Work?

• When you are finished, the pen can be instructed
  to send the data via mobile phone or PC via USB.

• When the data hits the Digital Pen Platform (a
  hosted server), it reconstructs the form as an
  exact facsimile of the original document.

• The document, along with any extracted
  information, is then forwarded back to the
  customer.

Internet
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How do we Work Together
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The Service User Journey
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XML The Babel Fish of IT

• Developing a core schema
• Nerd speak for the dictionary for our language
• Enables the Linking multiple applications
• Enables the Linking assessment tools

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Why a Core Schema

• The Single Assessment Process (and the Common
  Assessment Framework) require
• Support from multiple organisations
• An integrated assessment record
• Questions only asked once
• Assessment matched to needs

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Why a Core Schema

• Support Organisations have established working
  practices and systems tailored to their needs
• Support local requirements
• RAP
• PAF
• CPA
• Nursing needs
• PAS

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Why a Core Schema

• Data needs to be collected using standard
  approaches which can be adapted to meet local
  needs
• Digital Pen and Paper can
• Support core question sets
• Support continuation sheets for extended
  recording
• Be made available to multiple organisations
• Be adapted to meet local needs.

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What is needed

• NOW
• A Common Schema to operate across BOTH Health and
  Social Care
• The future
• Inclusion of other parts of the care community
• Commercial Care providers
• Voluntary Sector Organisations

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Can we deliver this

• We have the technology

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Benefits Realisation

• Where can DPP change practice for the better
• Improved person centred approaches
• Simple creation of the Service user held record
• Reduction in un-necessary travel
• No need to return to base to enter initial data
• Speeding up data collection
• Data available from the point of collection
• Reduction in data entry double keying
• With a suitable schema data can to moved to where
  it is needed

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Benefits realisation
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Potential Savings from an Integrated Digital pen
and Paper Solution
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Discussion Demonstration - Please Ask